Elizabeth A Dwyer-Noble, MASTERS

Individual provider Active NPI Behavior Analyst · Somers, NY

NPI 1972240190 · NPPES record last updated May 18, 2022

Key facts

NPI
1972240190
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
3 Warren St
Somers, NY 10589-1910
Phone
(914) 953-2229
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

3 Warren St
Somers, NY 10589-1910

Mailing address

3 Warren St
Somers, NY 10589-1910
Phone (914) 953-2229

Other names

  • Elizabeth A Dwyer Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 18, 2022.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1972240190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WARREN ST",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891910",
            "telephone_number": "914-953-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WARREN ST",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891910",
            "telephone_number": "914-953-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER-NOBLE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MASTERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DWYER",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somers, NY

All providers in Somers, NY · Behavior Analyst in New York

Sources for this page

Verify at the official NPI Registry.